| NPI | 1386805380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIA M HIGGINS A/R Manager 972-786-0340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2023-01-11 |