| NPI | 1669719282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIGH ALLEN Practice Administrator 214-421-1783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX 07675) |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2013-01-16 |