| NPI | 1528358884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NGOZI EBETE Officer/Alternate Administrator 214-680-9718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: TX NA) |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2011-04-12 |