| 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 |