| NPI | 1790094001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANTIAGO CALDERON Billing Office Manager 972-283-2389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2010-11-11 |