| NPI | 1740951466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY SADLER Executive Director 214-326-5848 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2021-11-15 |