| NPI | 1619109188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN HOPE Managed Care Coordinator 214-947-5449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| 207QS0010X Family Medicine, Sports Medicine | |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 208600000X Surgery | |
| 207RN0300X Internal Medicine, Nephrology | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2012-07-02 |