| NPI | 1558666016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE CANTU BANNISTER President 972-498-8670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX J8482) |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2011-01-14 |