| NPI | 1518088491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNIE MITCHELL President 972-355-3771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: TX K 1566) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2008-03-03 |