| NPI | 1083104749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ANTHONY TROXLER President 972-369-0739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX k9922) |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2020-07-20 |