NPI | 1295968758 |
---|---|
Doing Business As | DYNAMIC RPA PRACTICE |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER A INEAMA Provider 817-294-9600 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: TX D6175) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TX PA05609) |
363A00000X Physician Assistant (Licence: TX PA05609) | |
207LP2900X Anesthesiology, Pain Medicine (Licence: TX D6175) | |
208800000X Urology (Licence: TX D6175) | |
Enumeration Date | 2009-09-01 |
Last Update Date | 2013-03-11 |