NPI | 1275651002 |
---|---|
Entity Type | Organization |
Authorized Contact | TOM FOGARTY Senior VP / Chief Medical Officer 972-364-8103 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
261QU0200X Clinic/Center Urgent Care | |
261QX0100X Clinic/Center Occupational Medicine | |
Enumeration Date | 2007-03-27 |
Last Update Date | 2008-08-05 |