| NPI | 1548911407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY SADLER Executive Director 214-414-2880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2023-06-22 |