| NPI | 1215260971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY PAIGE RIDLEY Owner 972-393-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX L1983) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2009-09-14 |