| 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 |