| NPI | 1649278995 |
|---|---|
| Doing Business As | PHYSICIAN AND OTHER PROVIDERS |
| Entity Type | Organization |
| Authorized Contact | FREDERICK P. CERISE President/Chief Executive Officer 214-590-8006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103T00000X Psychologist |
| 152W00000X Optometrist | |
| 152WL0500X Optometrist, Low Vision Rehabilitation | |
| 171100000X Acupuncturist | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| 213E00000X Podiatrist | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2024-03-20 |