NPI | 1659595445 |
---|---|
Entity Type | Organization |
Authorized Contact | LESLIE HENDERSON Revenue Cycle Director 817-735-2008 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363A00000X Physician Assistant |
363L00000X Nurse Practitioner | |
Enumeration Date | 2007-04-12 |
Last Update Date | 2018-06-06 |