| NPI | 1346879350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH C MIGLIACCIO Owner/Provider 972-961-0673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2021-11-24 |