| NPI | 1750521639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE VINCENT ESTOY FORDAN Director 972-693-3871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX M3223) |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2020-06-23 |