| NPI | 1942522420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARE R BURGDORF Office Manager 817-926-4641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX E8747) |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2010-02-24 |