| NPI | 1588686547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT M NELSON Administrator 972-560-2667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2020-08-22 |