| NPI | 1871965855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY OPPENHEIMER Organizer 972-715-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2023-09-14 |