NPI | 1467696781 |
---|---|
Entity Type | Organization |
Authorized Contact | GLADIS BAILEY Founder/CEO 214-374-4311 |
Organization Subpart ? | Yes |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: TX 06155420) |
Enumeration Date | 2009-04-30 |
Last Update Date | 2009-04-30 |