| NPI | 1477505592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA L RILEY Administrator 214-943-9431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2009-09-28 |