| NPI | 1679921829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHON D OREAR Owner 214-300-8703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2016-05-28 |
| Last Update Date | 2016-05-28 |