NPI | 1528063146 |
---|---|
Entity Type | Organization |
Authorized Contact | ELLEN ELIZABETH FOURTON Director 972-860-8649 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX 0079BV) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX 0079BV) |
207R00000X Internal Medicine (Licence: TX 0079BV) | |
Enumeration Date | 2005-06-20 |
Last Update Date | 2010-01-20 |