NPI | 1316170079 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN D SHERRY Sole Member/Owner 972-733-0414 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX M6394) |
Enumeration Date | 2009-08-28 |
Last Update Date | 2009-08-28 |