| NPI | 1336696087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ALLEN SANDERS President And CEO 817-688-1588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX K9653) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX K9653) |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: TX K9653) | |
| 208M00000X Hospitalist (Licence: TX K9653) | |
| 209800000X Legal Medicine (Licence: TX K9653) | |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2016-09-09 |