| NPI | 1437476538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRIS H WUSTERHAUSEN Physician 817-845-8322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TX K8703) |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2010-04-28 |