NPI | 1154867398 |
---|---|
Entity Type | Organization |
Authorized Contact | RACHEL MICHELLE BRENNAN Business Owner, Pediatrician 817-733-4691 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OR DO172490) |
Enumeration Date | 2017-01-11 |
Last Update Date | 2017-01-11 |