| NPI | 1255885745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED JOHNSON Medical Director 214-984-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX AP81285) |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2016-08-12 |