| NPI | 1407407380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY BLOMQUIST Medical Director 972-521-8117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2019-09-23 |