| NPI | 1083162234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ANDERSON VP 972-720-7820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2018-09-21 |