| NPI | 1922353473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY DIANE CASEY Nurse, Billing Manager 214-361-7185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX P2166) |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2012-07-20 |