| NPI | 1811526874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE DE MOOR President 469-902-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 251E00000X Home Health |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2025-11-15 |