| NPI | 1376787572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | M LEESA SALAMONE Business Manager 817-546-7442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0006X Clinic/Center, Ambulatory Fertility Facility (Licence: TX 45D1107754) |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2010-03-30 |