| NPI | 1609124809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESA DANLEY Owner 214-690-9998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology | |
| 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine | |
| 208000000X Pediatrics | |
| 208100000X Physical Medicine & Rehabilitation | |
| 208200000X Plastic Surgery | |
| 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine | |
| 2084A0401X Psychiatry & Neurology Addiction Medicine | |
| 2084B0040X Psychiatry & Neurology Behavioral Neurology & Neuropsychiatry | |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry | |
| 2085B0100X Radiology Body Imaging | |
| 208VP0000X Pain Medicine Pain Medicine | |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2012-08-17 |