| NPI | 1376565341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERI LOUISE SHIPMAN Office Manager 972-709-1781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: TX G6955) |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| 225B00000X Pulmonary Function Technologist | |
| 2278P1005X Respiratory Therapist, Certified, Pulmonary Rehabilitation | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2008-10-05 |