| NPI | 1336654607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY GOLISZEK COO 214-506-2617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2020-10-06 |