| NPI | 1518117605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN MBOE Employee 469-438-3293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: TX 012735) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2025-03-20 |