| NPI | 1649512856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MCDONALD WALKER President 817-716-2737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2013-03-26 |