| NPI | 1558698217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA G ORTEGA Office Manager 817-336-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2010-08-30 |