| NPI | 1225217524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | S MULLEN President 817-789-2360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: TX 9632) |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2007-11-02 |