NPI | 1821411752 |
---|---|
Entity Type | Organization |
Authorized Contact | TONY A. PHILLIPS Staff Physician Assistant 972-934-3231 |
Organization Subpart ? | No |
Primary Taxonomy | 132700000X Dietary Manager (Licence: TX PA02139) |
Enumeration Date | 2014-01-29 |
Last Update Date | 2014-01-29 |