| NPI | 1093958183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA G. HARNEY Solo Practicioner/ Owner 214-491-4092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX K0314) |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2009-04-20 |