| NPI | 1427518372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ANDREW OSBORNE Director 817-808-2488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-03-25 |