| NPI | 1821148131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CRONIN Vice President Of Reimbursement 469-241-2128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282E00000X (Licence: PA 580601) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2012-01-26 |