| NPI | 1598812729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BERG CEO/President 214-345-2815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 000431) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-11-11 |