| NPI | 1952568453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL D LYDE Secretary 214-681-4913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty |
| Additional Taxonomies | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2022-07-21 |