| NPI | 1568716579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM SIVARAMAN Manager 214-618-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-10-30 |