| NPI | 1609324102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLE HATCHER Practice Administrator 469-800-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX AP124118) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2016-09-14 |