NPI | 1619616505 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS M FOWLER Md/Owner 469-757-2468 |
Organization Subpart ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2022-05-31 |
Last Update Date | 2022-05-31 |