| NPI | 1104248640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES STEPHEN JONES Owner 940-665-0721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX M1806) |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2014-03-04 |