| NPI | 1619417888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLIE SEAGO Director Of Revenue Cycle 214-378-4656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2017-03-07 |