| NPI | 1285910885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM SIVARAMAN Billing Manager 214-618-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2011-10-26 |