| NPI | 1821553454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK MICHAEL WHITFIELD Nurse Practitioner 469-463-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2019-02-07 |