| NPI | 1376994806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFRY MICHAEL DUKE Executive Director 972-253-4286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX M5102) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2016-06-27 |