| NPI | 1871866111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY LEE REEVES Office Manager 817-428-1865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: TX M3106) |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2016-03-11 |