| NPI | 1487695631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SMART O IDEMUDIA Owner 972-420-6777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX J91000) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX J91000) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2014-06-02 |