| NPI | 1407278286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY LOCKHART Revenue Cycle Manager 817-881-8571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2024-05-14 |