| NPI | 1811147606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A ALBUS Office Manager 214-330-9201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2008-09-30 |