NPI | 1275711657 |
---|---|
Entity Type | Organization |
Authorized Contact | JAN W PICKETT Physician Owner 972-625-5442 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX H2690) |
Enumeration Date | 2008-02-07 |
Last Update Date | 2013-10-10 |