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 |