| NPI | 1699979658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD WOLSKI Director 972-572-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 106H00000X Marriage & Family Therapist | |
| 207P00000X Emergency Medicine | |
| 207Q00000X Family Medicine (Licence: TX F7964) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: TX F7964) | |
| 225X00000X Occupational Therapist | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2015-03-02 |