NPI | 1881010312 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY BYRNE President 469-401-2386 |
Organization Subpart ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner |
363A00000X Physician Assistant | |
Enumeration Date | 2014-03-07 |
Last Update Date | 2015-01-06 |