NPI | 1336485838 |
---|---|
Entity Type | Organization |
Authorized Contact | DENNIS O OCHEI Executive Director 469-206-2630 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX K8394) |
Enumeration Date | 2013-01-02 |
Last Update Date | 2016-11-03 |