| NPI | 1295753929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER RUSSELL GOOD President 214-734-0232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 207U00000X Nuclear Medicine | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 2085R0203X Radiology, Therapeutic Radiology | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-08-22 |