| NPI | 1639487440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIAS FLORES LARA Medical Director 817-368-4136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N3814) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2020-10-27 |