| NPI | 1457849747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOOHI LEE Medical Director 972-612-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX L1920) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2018-04-23 |