| NPI | 1619090222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE RYAN Office Manager 972-566-3942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2007-12-06 |