| NPI | 1891083630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIANE ALEXANDER Credentialing Manager 972-867-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX L0160) |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2011-10-05 |