| NPI | 1619398195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN SMITH Manager Of Regulatory Compliance 972-616-4702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P3152) |
| Enumeration Date | 2013-12-30 |
| Last Update Date | 2014-01-10 |