NPI | 1801304043 |
---|---|
Doing Business As | PDS MEDICAL GROUP HENDERSON |
Entity Type | Organization |
Authorized Contact | VALERIE DENISE ESTRADA Credentialing Manager 469-718-2768 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2018-01-22 |
Last Update Date | 2025-03-26 |