NPI | 1083088686 |
---|---|
Entity Type | Organization |
Authorized Contact | FRANCHELL RICHARD HAMILTON Owner 817-431-1059 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: TX p3167) |
Enumeration Date | 2015-11-19 |
Last Update Date | 2015-11-19 |