| NPI | 1235548165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD C ANDREWS Medical Director 469-567-3323 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: TX F7388) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2014-08-05 |