| NPI | 1356412423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY KONDAS Officer 214-712-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-11-12 |
| Last Update Date | 2020-02-18 |