| NPI | 1427713239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD E ANDERSON President 469-981-2648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2021-11-05 |
| Last Update Date | 2021-11-05 |