NPI | 1760735625 |
---|---|
Entity Type | Organization |
Authorized Contact | MARTHA LOVE HARDEE President 214-382-5810 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX E8536) |
Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX E8536) |
Enumeration Date | 2012-10-17 |
Last Update Date | 2014-04-10 |