| NPI | 1700191822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT C YOUNG Manager 972-943-0410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX C5934) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX C5934) |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2010-08-12 |