| NPI | 1447231865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BLAKEMAN Provider Enrollment 469-557-6183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 208M00000X Hospitalist |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2024-10-25 |