| NPI | 1760488936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN ELIZABETH FOURTON Director 972-860-8649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX 00N85X) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TX 00N85X) |
| 207R00000X Internal Medicine (Licence: TX 00N85X) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX 00N85X) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX 00N85X) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TX 00N85X) | |
| 207RI0008X Internal Medicine, Hepatology (Licence: TX 00N85X) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: TX 00N85X) | |
| 207V00000X Obstetrics & Gynecology (Licence: TX 00N85X) | |
| 208000000X Pediatrics (Licence: TX 00N85X) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: TX 00N85X) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX 00N85X) | |
| 208600000X Surgery (Licence: TX 00N85X) | |
| 208M00000X Hospitalist (Licence: TX 00N85X) | |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: TX 00N85X) | |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2015-08-19 |