| NPI | 1487817151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA CORTEZ Practice Manager 972-815-6856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: TX K7510) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: TX M6414) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: TX N7347) | |
| 207R00000X Internal Medicine (Licence: TX H6269) | |
| 207R00000X Internal Medicine (Licence: TX K3141) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2023-07-14 |