| NPI | 1912163239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN E LUTICH Physician 214-373-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX H2547) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2008-08-06 |