| NPI | 1689621542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN E. FOURTON Director 972-860-8649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2008-02-18 |