| NPI | 1225344302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES M ZODROW Owner 972-398-0734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: TX j3662) |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2010-08-26 |