NPI | 1588770309 |
---|---|
Entity Type | Organization |
Authorized Contact | JOE PERRYMAN President 817-466-8001 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2006-08-22 |
Last Update Date | 2020-08-22 |