| NPI | 1396254512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA BIVEN Office Assistant 214-215-3325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N7094) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX N7094) |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2022-07-21 |