| NPI | 1629595327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA PHILLIPS Practice Manager 214-987-2875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 207Y00000X Otolaryngology |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2022-07-21 |