| NPI | 1528338795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS E EIDSON President 817-795-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: TX N9698) |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2013-04-30 |