| NPI | 1821442179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM W CRUZEN Owner/President 817-451-4208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036061115) |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2016-04-22 |