| NPI | 1184824682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PA PAN Director 214-731-3027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX 261Q00000X) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-07-23 |