| NPI | 1487194502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA L. ROBERTS, HARRIS Administrator 817-907-6714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2017-03-08 |