NPI | 1013109438 |
---|---|
Entity Type | Organization |
Authorized Contact | TOM FOGARTY Senior VP/ Chief Medical Officer 972-364-8103 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2007-08-10 |
Last Update Date | 2010-08-04 |