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 |