| NPI | 1336319136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES A BENTLEY President 214-520-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 000211) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 000211) |
| 333600000X Pharmacy (Licence: TX 000211) | |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2008-03-07 |