| NPI | 1710004551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESILE WILMOT NELSON Executive President 817-548-6648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX L9825) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |