| NPI | 1285110965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY SCHRIMPF COO 817-355-8000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2020-01-20 |