| NPI | 1447555313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WILLIAM OBBINK President 817-346-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX K0149) |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2011-01-24 |