| NPI | 1245696806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALOMON BANARER Physician 972-566-7799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX M1490) |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-01-12 |