| NPI | 1295914737 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SHERIDAN SCOTT EVANS Medical Doctor 972-548-5050  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX K9777)  | 
| Enumeration Date | 2007-11-01 | 
| Last Update Date | 2007-11-01 |