| NPI | 1861721045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL K VILLANUEVA President 972-869-3789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M9721) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX M9721) |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2011-02-24 |