| NPI | 1639464324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLAND DAVID IBONI President 214-454-2466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: TX L7424) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2012-09-18 |