| NPI | 1285701102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVETTE CORDOVA Practice Manager 214-691-1330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: TX D6588, G6386) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2014-07-08 |