| NPI | 1215654959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESTON BRADLEY Owner/Authorized Official 214-725-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2022-10-24 |