| NPI | 1750509998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI LEE KUSSMAUL Clinical Dietitian 817-685-4823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: TX DT05147) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-11-11 |