| NPI | 1679803902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO HUNT Office Manager 214-691-7077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TX F6019) |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2010-01-08 |