| NPI | 1639394562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMRA KAY DEUSER Owner 972-899-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX L3951) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2007-12-17 |