| NPI | 1679540280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERRICA L. BROWN Medical Staff COO Rdinator 214-590-1396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2020-08-22 |