| NPI | 1316728702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE J TELFORD Managed Care Consultant 214-865-2774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2024-04-23 |