| NPI | 1093031106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL THOMAS MARTINELLI Director 214-564-0947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX L8826) |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2010-04-14 |