| NPI | 1316240021 |
|---|---|
| Former Legal Business Name | NA |
| Entity Type | Organization |
| Authorized Contact | LYNN DUGGER Executive Office Manager 214-872-3381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX L6174) |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2012-02-27 |