| NPI | 1093925620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDDIE TOMBLIN Office Manager 214-349-4909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX F7329) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2014-04-09 |