| NPI | 1396163440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT J LEWIS Owner 817-332-8227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2014-04-04 |