| NPI | 1871910505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLINTON F HERZOG Owner 214-420-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX H4764) |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2014-03-19 |