| NPI | 1295109064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE MURR-HEWITT Credentialing Specialist 972-792-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX J8754) |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2024-06-05 |