| NPI | 1487861589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY RYAN FRIEDMAN Owner 972-668-0821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX M5168) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2008-01-29 |