| NPI | 1386866028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ESTER ORLOWSKI Medical Director 972-484-3220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX 1010189) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |