| NPI | 1558967901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD E ANDERSON Manager 214-943-2249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care |
| 363LF0000X Nurse Practitioner Family | |
| 363LP2300X Nurse Practitioner Primary Care | |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2020-12-10 |