| NPI | 1407053234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI SUZZETTE AARON Owner 817-581-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX E2484) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2023-09-18 |