NPI | 1114000700 |
---|---|
Doing Business As | STORK ASSOCIATES |
Entity Type | Organization |
Authorized Contact | RONALD T. WILSON Owner 940-565-1100 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX 637964) |
Enumeration Date | 2006-10-24 |
Last Update Date | 2020-08-22 |