| NPI | 1619987252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA F HAMMONS Accounts Receivable Manager 817-538-9971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX J3658) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2025-01-17 |