NPI | 1548789639 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN JOSEPH WILSON Owner 940-689-9664 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine |
Enumeration Date | 2017-09-11 |
Last Update Date | 2017-09-11 |