| NPI | 1538574603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD BLAHA Owner 214-219-3260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 645587) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2014-06-26 |