| NPI | 1447311477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND HAROLD PERRY Administrstor 469-726-1310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 122979) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2008-06-13 |