| NPI | 1063858983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BOARER President 972-526-5444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2013-05-18 |
| Last Update Date | 2013-05-18 |