| NPI | 1477986065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE DANIEL MINGEA Owner, Physician 972-429-5809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM MD2011-0778) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NM MD2011-0778) |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2013-08-19 |