| NPI | 1851458038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE DETAMORE ATHRE Nurse Practitioner 214-456-5614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC2000X General Acute Care Hospital, Children (Licence: TX 630600) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |