| NPI | 1326105784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY D. TATUM C.E.O. 817-740-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2013-12-02 |