| NPI | 1508262429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHIELLE N FISHER Sole Mbr 214-389-0855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: TX L4373) |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2014-11-05 |