NPI | 1932968369 |
---|---|
Doing Business As | PDS MEDICAL GROUP NORTH MESA |
Entity Type | Organization |
Authorized Contact | APRIL KING Credentialing Manager 469-221-5944 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2024-03-18 |
Last Update Date | 2024-03-18 |