| NPI | 1306903216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA M GOMEZ General Partner 972-608-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: TX F4005) |
| 261QP2300X Clinic/Center, Primary Care (Licence: TX F4402) | |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2013-12-17 |