| NPI | 1871840777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESA DANLEY Owner 214-690-9998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
| 204D00000X Neuromusculoskeletal Medicine & OMM | |
| 207K00000X Allergy & Immunology | |
| 207L00000X Anesthesiology | |
| 207N00000X Dermatology | |
| 207ND0900X Dermatology Dermatopathology | |
| 207P00000X Emergency Medicine | |
| 207R00000X Internal Medicine | |
| 207T00000X Neurological Surgery | |
| 207U00000X Nuclear Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207W00000X Ophthalmology | |
| 208D00000X General Practice | |
| 208M00000X Hospitalist | |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2012-08-09 |