| NPI | 1376645564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE HENDERSON Revenue Cycle Director 817-735-2008 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2018-06-06 |