| NPI | 1477194363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK LYNN ENLOW Partner 817-520-5260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation |
| 225100000X Physical Therapist | |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2020-03-20 |