| NPI | 1366880080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNA J MOORE Practice Administrator 972-745-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2013-06-05 |