| NPI | 1487904678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE JARVIE VP, Treasurer 214-379-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CA 220000474) |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2024-07-29 |