| NPI | 1114116811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM FOGARTY Senior VP/ Chief Medical Officer 972-364-8103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2010-08-02 |