| NPI | 1487006664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | T JOSHUA BAKER President 214-398-8801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX q1947) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208100000X Physical Medicine & Rehabilitation | |
| 208200000X Plastic Surgery | |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |