| NPI | 1265604664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANY TRAMMELL Clinic Director 972-617-6376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX H4751) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2015-02-13 |