NPI | 1184077380 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES E STEVENS Managing Member 972-719-2558 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX E8937) |
Enumeration Date | 2016-07-22 |
Last Update Date | 2016-07-22 |