| NPI | 1265989081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN ODEN Office Manager 972-581-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2016-09-09 |