NPI | 1073707626 |
---|---|
Doing Business As | FAMILY MEDICAL |
Entity Type | Organization |
Authorized Contact | WESLEY GARRETT WILSON President/Physician 972-564-0711 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX J3393) |
Enumeration Date | 2007-08-28 |
Last Update Date | 2007-12-18 |