| NPI | 1750666111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN LYNN BEAN Practice Administrator 972-709-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX F2427) |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2012-02-22 |