| NPI | 1356506752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GRATCH President 817-423-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TX PA02558) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2022-11-02 |