| NPI | 1295298602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORIE ANN BELITERE-BLESSING Director 972-423-0220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2019-04-11 |