| NPI | 1346608536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN RUDMAN Physician/Owner 214-931-9443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX K1038) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX K1038) |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2022-07-21 |