| NPI | 1811021058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE R DELAROSA Administrator 972-566-7706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2019-02-07 |