| NPI | 1649453580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH CARROLL KILLEN President 214-265-8646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX D6054) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2007-12-19 |