| NPI | 1194924241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEDIOLA BADIE President 940-382-4142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX E6962) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2009-04-27 |