| NPI | 1992835573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA SALDIVAR Eligibility Clerk 214-670-0559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2008-07-03 |