| NPI | 1952539348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA STARK-VANCE Owner 817-926-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX J9819) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2009-08-27 |