| NPI | 1609220367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN DANIEL AKE CEO/Provider 682-202-4585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX P9785) |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2016-04-19 |