| NPI | 1578875191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL DAVENPORT Medical Director 214-558-9585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M4021) |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2010-07-14 |