| NPI | 1275998312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIUD VILLARREAL Doctor 214-943-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: TX 21771) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2015-12-16 |