| NPI | 1528244001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL ANN HOOD Practice Administrator 972-378-3153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX K7424) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2008-01-15 |