| NPI | 1053533364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERYL L BLAYLOCK President Owner 817-594-6620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX J8464) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |