| NPI | 1053737833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON LEE WIENER President/Owner 972-781-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX G8509) |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2014-03-17 |