| NPI | 1265159735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE WHITAKER WALKER Manager 214-395-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 213E00000X Podiatrist | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2025-09-11 |