| NPI | 1063216018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI JO HARMS Director, Physician Owner 214-238-7888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2025-04-01 |
| Last Update Date | 2025-04-01 |