| NPI | 1487189585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M SORIA Owner/President 817-451-4208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME70823) |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2017-04-26 |