NPI | 1902266539 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY DEWAYNE MARTIN Pres 972-789-1234 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX AP123042) |
Additional Taxonomies | 208600000X Surgery |
Enumeration Date | 2016-02-24 |
Last Update Date | 2020-11-17 |