| NPI | 1457465486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY KEEN TRESTER President 972-424-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX f4313) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 633384) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-08-22 |