| NPI | 1609807494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRESLEY M MOCK President 214-345-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: TX J3359) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: TX D1978) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: TX L1570) | |
| 207V00000X Obstetrics & Gynecology (Licence: TX J7750) | |
| 207V00000X Obstetrics & Gynecology (Licence: TX G8117) | |
| 207Y00000X Otolaryngology (Licence: TX C6060) | |
| 207Y00000X Otolaryngology (Licence: TX H2615) | |
| 207Y00000X Otolaryngology (Licence: TX L1259) | |
| 208000000X Pediatrics (Licence: TX J7019) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2025-09-11 |