| NPI | 1457915027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DEJESUS President 817-751-1811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health |
| 207QA0505X Family Medicine, Adult Medicine | |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| 2251G0304X Physical Therapist, Geriatrics | |
| 2279G0305X Respiratory Therapist, Registered, Geriatric Care | |
| 363L00000X Nurse Practitioner | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2024-08-01 |