| NPI | 1831516947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SLATER Director 817-461-6374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX L7564) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX L7564) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2016-03-29 |