| NPI | 1306034202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY TODD CARRUTHERS President 972-852-1534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX K5849) |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2018-08-08 |