| NPI | 1285233320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD SCOTT Practice Owner 972-333-4085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-30 |