| NPI | 1356488993 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | NATHANIEL THOMAS YOKUBAITIS President 972-964-2950 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX L3201) | 
| Enumeration Date | 2007-01-31 | 
| Last Update Date | 2009-08-25 |