NPI | 1659695146 |
---|---|
Entity Type | Organization |
Authorized Contact | KIM HIGGINS Owner 817-522-1530 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N4471) |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: TX N3995) |
207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: TX M4379) | |
207QG0300X Family Medicine, Geriatric Medicine (Licence: TX M4379) | |
Enumeration Date | 2010-03-26 |
Last Update Date | 2025-09-10 |