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 |