| NPI | 1801845425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL CULLISON Vice President 214-947-2356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine | |
| 208600000X Surgery | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2018-12-13 |