| NPI | 1629128731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI LEA SCOTT Npi Coordinator 972-285-5426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX F9379) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2010-11-18 |