| NPI | 1194368266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSELINE JONES Owner 469-335-2356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2019-10-22 |