| NPI | 1376851543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD PATRICK FRUSHER Physician 817-504-4824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX k5531) |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2010-09-21 |