| NPI | 1437245313 |
|---|---|
| Doing Business As | INTERNAL MEDICINE OF CRAIG RANCH |
| Entity Type | Organization |
| Authorized Contact | JEFF HENDERSON VP 817-539-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-11-06 |