NPI | 1245628106 |
---|---|
Entity Type | Organization |
Authorized Contact | LORI AARON CEO 817-581-6100 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
261QI0500X Clinic/Center, Infusion Therapy | |
Enumeration Date | 2014-12-30 |
Last Update Date | 2023-10-24 |