NPI | 1801170816 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER GABRIELLE PATTERSON Owner/Md 972-498-8670 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX K5653) |
Enumeration Date | 2011-10-10 |
Last Update Date | 2011-10-10 |