| 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 |