| NPI | 1821641820 |
|---|---|
| Doing Business As | PRIVIA MEDICAL GROUP NORTH TEXAS |
| Entity Type | Organization |
| Authorized Contact | LARRY D TATUM C.E.O. 817-740-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2019-07-18 |