| NPI | 1578017802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD LYLES COO 972-899-6996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2020-04-28 |