| NPI | 1861550394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAY ANDERSON Office Manager 817-842-2512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2018-02-15 |