NPI | 1194953489 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN JAMES SHELTON Owner/Officer 972-382-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N1893) |
Enumeration Date | 2009-06-25 |
Last Update Date | 2009-06-25 |