NPI | 1417265661 |
---|---|
Entity Type | Organization |
Authorized Contact | PAULA LANSFORD-SEABAUGH Physician 817-645-5904 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX N3813) |
Enumeration Date | 2010-09-22 |
Last Update Date | 2010-09-22 |