| NPI | 1538383328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE MCGEE HENDERSON Revenue Cycle Director 817-735-2008 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2018-06-08 |