| NPI | 1043611809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLYDE R LEE Owner 972-712-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: TX 18285) |
| Additional Taxonomies | 251K00000X Public Health or Welfare (Licence: TX 18959) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2014-09-11 |