| NPI | 1649950247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY L CHANDLER Physician 469-358-0768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2025-06-09 |