| NPI | 1518101211 |
|---|---|
| Former Legal Business Name | HERITAGE INTER-MED, PLLC |
| Entity Type | Organization |
| Authorized Contact | CECIL C BAILEY Owner 972-299-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX L0008) |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2009-04-24 |