| NPI | 1316310683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY JORDAN Owner 469-307-5810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: TX P9055) |
| Enumeration Date | 2015-11-08 |
| Last Update Date | 2016-09-19 |