| NPI | 1932718673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEY HANGER Billing Manager 214-432-5721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2021-01-27 |