| NPI | 1194124685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL D THOMPSON Memeber 817-296-6720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX M8385) |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2014-08-20 |