| NPI | 1245488436 |
|---|---|
| Doing Business As | TROPHY CLUB FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | LAINEY GEE Business Manager 817-430-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-09-03 |