| NPI | 1194175851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY S MARSHALL President 817-329-0389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX N9598) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-06-14 |