| NPI | 1376289983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISTY BUTZKE Authorized Official 214-729-1059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2023-03-14 |