| NPI | 1982737714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S COHEN Owner, Physician 817-329-9176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX J8966) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |