| NPI | 1447602214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT W GALLOWAY Medical Director 214-619-5664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N4420) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX N4420) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2016-07-07 |