| NPI | 1265863542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA JOY GUFFEY Practice Manager 469-420-5527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2021-09-15 |