| NPI | 1447783279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY BYRNE Officer 469-401-2386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| 364S00000X Clinical Nurse Specialist | |
| Enumeration Date | 2017-04-08 |
| Last Update Date | 2018-02-23 |