| NPI | 1295155273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE W CAVENEE Co Owner 214-769-2398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: TX h6104) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2014-04-17 |