| NPI | 1508470170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY JAMES HONER Md 817-586-9241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2024-06-03 |