| NPI | 1891741922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES W. BLAMER COO 214-333-7333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2021-05-25 |