| NPI | 1578879409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA G ORTEGA Office Manager 817-336-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX N6648) |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2010-09-16 |