| NPI | 1467524678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY LYNN TERRY President 214-707-6443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX K5318) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2008-12-16 |