| NPI | 1356532147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUILLERMO M FUENTES President Owner 972-242-2726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX K8749) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2008-01-18 |