| NPI | 1255058533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BENNER Owner 972-281-7328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Enumeration Date | 2022-10-26 |
| Last Update Date | 2022-10-26 |