| NPI | 1104094762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOCELYN B DUNHAM Physician/Owner 972-724-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX J1979) |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2011-03-07 |