| NPI | 1497130850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURT SCHULTZ CFO 469-621-6707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2015-12-09 |