| NPI | 1336333251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA PRATER Practice Manager 972-981-8345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: TX J2999) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX J2999) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2008-07-01 |