| NPI | 1447542816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILTON MIZE Board Of Directors 972-377-7117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX TX9753) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2011-05-04 |