| 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 |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2011-05-18 |