| NPI | 1366037319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR YORK LEVY CEO 817-228-3947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology |
| Additional Taxonomies | 208000000X Pediatrics |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine | |
| Enumeration Date | 2021-03-02 |
| Last Update Date | 2021-03-02 |