| NPI | 1720807670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD IVAN COLLINS Credentialing Specialist 972-888-7216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services |
| Enumeration Date | 2024-10-08 |
| Last Update Date | 2024-10-08 |