NPI | 1336398171 |
---|---|
Entity Type | Organization |
Authorized Contact | ELLEN FOURTON Director 972-860-8679 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
207T00000X Neurological Surgery | |
207X00000X Orthopaedic Surgery | |
208000000X Pediatrics | |
208600000X Surgery | |
207Y00000X Otolaryngology | |
208M00000X Hospitalist | |
Enumeration Date | 2008-09-17 |
Last Update Date | 2012-11-28 |