| NPI | 1790082857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA G ORTEGA Office Manager 817-336-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N664) |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2012-10-03 |