| NPI | 1912228545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY TALLON CEO 214-361-2772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX 4873) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 11320) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2010-06-17 |