| NPI | 1003800434 |
|---|---|
| Doing Business As | FAMILY MEDICINE AT WILLOW BEND |
| Entity Type | Organization |
| Authorized Contact | JEFFREY CRAIG KOMENDA Medical Doctor 972-608-1868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX H6350) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2012-02-28 |