| NPI | 1376699751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH A JEKOT Medical Director/Owner 214-442-7050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX H8155) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2009-03-19 |