| NPI | 1477726263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM RICHARD TRAVIS Physician/President 469-667-9449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX H8954) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2008-04-11 |