| NPI | 1194739888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI LYNN BARNES Office Manager 214-824-9963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX 174400000X) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-22 |