| NPI | 1588761407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BARNARD Billing Administrator 682-365-7402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX L1864) |
| Additional Taxonomies | 207QH0002X Family Medicine Hospice and Palliative Medicine |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-02-21 |