| NPI | 1972782118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN FRIGGARD REEDER Medical Doctor 972-566-7492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX D5822) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX E0644) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2007-10-24 |