| NPI | 1710662754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP E SILVA Md/Owner 214-356-1724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 282E00000X |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| 314000000X Skilled Nursing Facility | |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2024-04-01 |