NPI | 1639287451 |
---|---|
Entity Type | Organization |
Authorized Contact | KEITH SHILLING LIVINGSTONE Owner 817-294-5600 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX G5305) |
Enumeration Date | 2006-08-29 |
Last Update Date | 2018-12-10 |