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 |