| NPI | 1134675366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY LYNN SMITH Owner/Physician 972-649-5480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX M1354) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-28 |