| NPI | 1265530604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRELL S WHEELER President 754-754-0934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX H0927) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2013-04-18 |