| NPI | 1609079375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM FOGARTY Cmo 972-364-8103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| 261QU0200X Clinic/Center, Urgent Care | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2020-08-22 |