| NPI | 1457792400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE SALAZAR CEO 214-395-8038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2013-07-07 |
| Last Update Date | 2013-07-07 |