| NPI | 1518156389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN L FEWINS President/Physician 817-335-0368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX L6377) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2007-10-17 |