| NPI | 1073727368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE RENEE BARTON Practice Manager 817-481-4739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX J4265) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2007-09-06 |