| NPI | 1275619744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA MASON CLARK Physician Owner 214-542-2683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX L8652) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2023-03-07 |