| NPI | 1366750325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ODETTE LOUISE CAMPBELL President 972-533-2716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX H9609) |
| Additional Taxonomies | 2085R0001X Radiology Radiation Oncology (Licence: TX H9609) |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2019-08-19 |