| NPI | 1639583800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID R HENSLEY President/Owner 817-704-4777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX K2489) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2014-06-16 |