| NPI | 1437636636 |
|---|---|
| Doing Business As | CCRM DALLAS FORT WORTH |
| Entity Type | Organization |
| Authorized Contact | MATT TYSON Director, Managed Care Contracting 615-477-6677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2026-07-10 |