| NPI | 1649574922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN ROTH Office Manager 972-250-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX pa00975) |
| Enumeration Date | 2010-12-31 |
| Last Update Date | 2010-12-31 |