| NPI | 1992299457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNESTO PRUNA Medical Doctor/Physician 972-598-0270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N7330) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2022-10-13 |