| NPI | 1386885499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA SHEPHERD STILES Owner 972-771-1628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: TX H-8853) |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2009-03-19 |