NPI | 1790100550 |
---|---|
Doing Business As | DYNAMIC MEDICAL |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER A INEAMA Partner 817-294-9600 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX H7354) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA05609) |
Enumeration Date | 2014-03-03 |
Last Update Date | 2014-03-03 |