| NPI | 1366748113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO J MARTINEZ President 972-406-2896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2011-01-26 |