| NPI | 1558308130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK P. CERISE President & Chief Executive Officer 214-590-8006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 103T00000X Psychologist |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2022-12-07 |