| NPI | 1912120874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD LYLES COO 972-899-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-04-28 |