| NPI | 1407614068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA LEE BANNISTER Manager 972-709-7190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine |
| Enumeration Date | 2024-03-08 |
| Last Update Date | 2025-04-22 |