| NPI | 1376159590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON LAGRONE Director Provider Enrollment 214-662-8596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2024-10-03 |