| NPI | 1457582637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH M MEGWA Physician 817-548-9092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX M0176) |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2009-08-05 |