| NPI | 1497982524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE KANN Vice President And Secretary 972-216-2299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MT 11453) |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2023-06-28 |