| NPI | 1013463835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA MINOR Maternal Child Nurse 817-915-2968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: LA 059097) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |