| NPI | 1295499184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLIE RICE-DORROUGH Physician 469-290-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2022-12-13 |