NPI | 1548568843 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM TOM FOGARTY Director 972-364-8000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2011-03-10 |
Last Update Date | 2011-05-18 |