| NPI | 1912460114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN EUGENE COCHRANE Managing Member 972-619-5350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133V00000X Dietitian, Registered | |
| 207R00000X Internal Medicine | |
| 111N00000X Chiropractor | |
| 208600000X Surgery | |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| 363L00000X Nurse Practitioner | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2019-04-13 |
| Last Update Date | 2023-04-03 |