| NPI | 1114202611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD STEVEN KLINE President 817-419-8748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: TX E1000) |
| Enumeration Date | 2011-10-15 |
| Last Update Date | 2011-10-15 |