| NPI | 1497971766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL SYMMANK Owner 214-596-2811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX DC9044) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2014-09-08 |