| NPI | 1417054024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE MCGEE HENDERSON Revenue Cycle Director 817-735-2008 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207KA0200X Allergy & Immunology Allergy |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2018-06-06 |