| NPI | 1356660179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI S AARON CEO 214-771-0117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QP3300X Clinic/Center, Pain | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1000357) | |
| 261QM0801X | |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2022-10-19 |