NPI | 1235587163 |
---|---|
Entity Type | Organization |
Authorized Contact | DOUGLAS J SMITH Officer 469-401-2386 |
Organization Subpart ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine |
Additional Taxonomies | 363A00000X Physician Assistant |
363L00000X Nurse Practitioner | |
Enumeration Date | 2016-06-01 |
Last Update Date | 2016-06-02 |