| NPI | 1043455884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUNED M HUSAIN Manager 817-722-8852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: TX L6952) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2008-12-09 |