| NPI | 1699870998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE HENDERSON Revenue Cycle Director 817-735-2008 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2018-06-06 |