| NPI | 1427314608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WASEY JABBAR Manager 903-784-4487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX M8731) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TX M5243) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2014-10-06 |