| NPI | 1427242932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER GORDON MCDOUGALL Owner 817-307-5101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0000X Family Medicine, Adolescent Medicine (Licence: TX E8068) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2016-02-11 |