| NPI | 1356832141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY M MCAULIFF Medical Director 469-931-0684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX P5553) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2021-09-22 |