| NPI | 1720413644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSIE HICKS President 817-292-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology | |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2013-09-10 |