| NPI | 1609215953 |
|---|---|
| Doing Business As | NA |
| Entity Type | Organization |
| Authorized Contact | ALISON H KRIEGER Billing Manager/ Owner 817-846-2159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2013-06-20 |