| NPI | 1083853832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ADRIAAN C DEVRIES Physician/Owner 214-368-6197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: TX E2537) |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2009-02-17 |