| NPI | 1467766790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD GRIFFITH BRISTOW Physician/Owner 214-328-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX E3217) |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2011-12-06 |