| NPI | 1144612011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETCHEN FAYE TOLER Owner 214-432-4039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX G8466) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2015-03-02 |