| NPI | 1073576864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M LEE Md 214-303-1033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2024-08-01 |