| NPI | 1528262599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD WOLSKI Director 940-484-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX F7964) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 106H00000X Marriage & Family Therapist | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: TX F7964) | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2014-11-21 |