| NPI | 1447295910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRESLEY M MOCK President 214-345-1494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Additional Taxonomies | 208800000X Urology |
| 363AM0700X Physician Assistant, Medical | |
| 208000000X Pediatrics | |
| 207V00000X Obstetrics & Gynecology | |
| 207Y00000X Otolaryngology | |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2017-10-24 |