| 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 | 261QI0500X Clinic/Center Infusion Therapy |
| 261QS1200X Clinic/Center Sleep Disorder Diagnostic | |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2023-10-24 |