| NPI | 1821448861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE HARVEY Physician's Assistant 214-398-8801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX pa1234) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2016-06-24 |