| NPI | 1598945123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDI SCHUMAKER Office Manager / Ma 817-483-8599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX F2978) |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2008-01-28 |