| NPI | 1194905141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GABBERT YOUNG President 817-361-7494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX G8527) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2007-11-07 |