| NPI | 1164675096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA L SORENSEN President 214-948-9286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX GO151) |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2008-10-23 |