| NPI | 1295063949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHA LYNN WARD Practice Manager 817-424-3278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2009-11-18 |