| NPI | 1568187342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRENT TITUS CEO 214-686-5922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2022-10-05 |