| NPI | 1558864413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE DEVADOSS Administrator 214-735-6622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2018-03-16 |