| NPI | 1538354626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BROWN Adimistrator 817-834-8214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: TX E6734) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2007-09-11 |