| NPI | 1376543637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES B LEVIN President/Physician Partner 214-369-3613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX E4886) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2009-07-30 |