| NPI | 1275054868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY FRITZ Credentialing 214-980-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 225100000X Physical Therapist | |
| 111N00000X Chiropractor | |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2025-10-22 |