| NPI | 1194086819 |
|---|---|
| Doing Business As | SMART LIVING MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | LOUIS D ZEGARELLI Physician/Medical Director 817-200-7533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2012-05-30 |