| NPI | 1417198854 |
|---|---|
| Doing Business As | DALLAS ENT HEAD AND NECK SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | SARA CARRILLO Office Manager 214-946-3687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2009-03-16 |