| NPI | 1386153849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD LYLES COO 972-899-6857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2020-05-08 |