NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1790787497 | CLARK | RUSSELL | PATRICK |   | 9229 LBJ FWY | DALLAS | TX | 752433405 |
1720168651 | DENNIS | ERIC | S. |   | 9229 LBJ FWY | DALLAS | TX | 752433405 |
1417213869 | DOMANSKI | KRISTINA | HALINA |   | 3100 N TENAYA WAY | LAS VEGAS | NV | 891280436 |