| NPI | 1407232812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY GRAVITT Office Manager 214-774-4475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX D9348) |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2024-05-29 |