| NPI | 1912396029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH DORITY Medical Director 214-324-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX K7022) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2015-01-13 |