| NPI | 1639517782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA YOUNG CFO 972-255-5588 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: TX 90-07696258) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2013-12-20 |