| NPI | 1164678264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA TRUONG COOLEY Physician 972-889-8353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: TX K0692) |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2008-08-27 |