| NPI | 1255147054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIGAIL KIRKLAND Enrollment Coordinator 469-893-2695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2024-12-06 |
| Last Update Date | 2024-12-06 |