| NPI | 1417250556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLAWOLE OLUWOLE President 972-829-0098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: TX L5497) |
| Enumeration Date | 2010-12-12 |
| Last Update Date | 2010-12-12 |