| NPI | 1235302274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN V GREGG Vice President 817-896-0860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX G0320) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2008-04-10 |