| NPI | 1144508458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYNA LOMBARD Office Manager 972-355-1831 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX H4919) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2011-08-03 |