| NPI | 1306252796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLBY LOVELACE Owner 214-797-5944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: TX 12657) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2014-07-08 |