| NPI | 1295780906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY KEN GRAY President 940-898-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-08-22 |