NPI | 1912000340 |
---|---|
Entity Type | Organization |
Authorized Contact | HOWARD J LANG Owner 817-577-0480 |
Organization Subpart ? | No |
Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: TX E3040) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX E3040) |
Enumeration Date | 2006-09-07 |
Last Update Date | 2010-07-19 |