| NPI | 1558526392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE L MICHAEL Owner 214-707-0092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: TX 544527) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-07-22 |