| NPI | 1346564135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL ELAINE VAN HORN President 972-875-3997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A8528) |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2012-12-19 |