NPI | 1679798201 |
---|---|
Other Name | OASIS |
Entity Type | Organization |
Authorized Contact | LISA BRUMMETT Clinic Coordinator 972-335-8455 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: TX G8826) |
Enumeration Date | 2007-04-17 |
Last Update Date | 2008-09-16 |