| NPI | 1417101171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FOY EDWARD DARK Owner 254-666-3627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: TX L2082) |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2011-12-22 |