| NPI | 1043589898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID PAUL CAPPER Owner 817-735-8741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX G3213) |
| Enumeration Date | 2011-12-23 |
| Last Update Date | 2011-12-23 |