| NPI | 1427357649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECE PANNELL Billing Manager 817-319-4047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX H1365) |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2021-01-18 |