| NPI | 1356768006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVIA CARLSON Business Manager 972-240-1789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX HO233) |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2014-03-19 |