| NPI | 1366998049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORIE ANN BELITERE-BLESSING Owner / Medical Director 469-724-4677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |