| NPI | 1659124311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA AMUNDSON Business Manager 972-688-6330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Enumeration Date | 2024-04-10 |
| Last Update Date | 2024-04-10 |