| NPI | 1821241605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN E FOURTON Director 972-860-8649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2010-04-20 |