| NPI | 1497967046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM HUME MOORE President 214-368-6341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: TX h9243) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |