| NPI | 1326158734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA V BROWN Administrator 972-223-4420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TX k1779) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-03-31 |