| NPI | 1265663447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN AARON WHITFIELD President / Self 817-927-2229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX G8505) |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2009-08-17 |