| NPI | 1831754688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI GUERRERO Administrator 972-294-9666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2021-02-23 |