| NPI | 1467457036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN ELIZABETH FOURTON Director 972-860-8649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: TX 00118Y) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TX 00118Y) |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2020-08-22 |