| NPI | 1255933016 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DIRK ALAN PERRITT CEO 214-708-6641 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | 
| Additional Taxonomies | 261Q00000X Clinic/Center | 
| Enumeration Date | 2020-11-16 | 
| Last Update Date | 2022-12-19 |