| NPI | 1821632530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BLACKMON Provider 972-318-9731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 251F00000X Home Infusion |
| 251J00000X Nursing Care | |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2024-08-02 |