| NPI | 1225799901 |
|---|---|
| Doing Business As | PRIVIA MEDICAL GROUP NORTH TEXAS |
| Entity Type | Organization |
| Authorized Contact | LARRY D TATUM CEO 817-740-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2022-01-18 |