| NPI | 1386186757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROSE THOMAS Credentialing Specialist 214-857-4602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: TX 674604) |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2016-11-16 |