| NPI | 1326318478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE S STREMPEK Doctor/Owner 214-692-1359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TX 21398) |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2012-01-06 |