NPI | 1972852564 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY BYRNE President 214-202-2758 |
Organization Subpart ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2012-08-29 |
Last Update Date | 2012-08-29 |