| NPI | 1437454352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVIAN DESHIVER KIDD President & Provider 972-505-1584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M1829) |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2019-10-08 |