| NPI | 1851305460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY MOLIDOR Practice Manager 817-820-2897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-02-07 |