| NPI | 1497200935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW D BEATY President 817-315-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy |
| Additional Taxonomies | 2080P0201X Pediatrics, Pediatric Allergy/Immunology |
| 207K00000X Allergy & Immunology | |
| 207RA0201X Internal Medicine, Allergy & Immunology | |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2020-06-03 |