| NPI | 1528207024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATHENNA HAVARD Office Manger 817-225-2718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX L9235) |
| Enumeration Date | 2009-02-07 |
| Last Update Date | 2010-11-01 |