| NPI | 1457653669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDID G. RAMOS RIVAS Owner 972-228-4888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX J9291) |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2010-11-19 |