| NPI | 1326423542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL RAYMOND BRANCHEAU Owner 214-321-3394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX K2854) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2017-01-11 |