| NPI | 1366886939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD E FREELAND Owner 817-556-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX C7600) |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2017-02-15 |