| NPI | 1467141457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARNESTINE MARIEMA PARKINSON Operating Manager 469-279-7665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1800X Clinic/Center, Corporate Health |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2023-05-04 |