| NPI | 1609607175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AL BERRY Credentialing Coordinator 469-485-3166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2024-08-08 |
| Last Update Date | 2024-08-08 |