| NPI | 1093088684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL WAGNER Program Director 817-927-1370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: TX P1268) |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2012-02-14 |