| NPI | 1811437841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY ANNELL CHAVIS Practice Administrator 469-606-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2024-05-08 |