| NPI | 1528585601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEISHA MCKINSEY Np/Owner 214-903-8070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: TX AP131334) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2018-03-17 |