| NPI | 1457790933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY W HUBBARD President 214-528-3770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TX 15507) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2013-06-18 |