| NPI | 1407096985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN OKAH AYIDU-OMO Owner 817-419-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX 6385TG) |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2009-02-24 |