| NPI | 1851329817 |
|---|---|
| Doing Business As | NORTHERN LAKES INTERNAL MEDICINCE |
| Entity Type | Organization |
| Authorized Contact | REBECCA HURLEY Senior Vice President 214-473-3993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 208600000X Surgery | |
| 208C00000X Colon & Rectal Surgery | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2020-08-22 |