| NPI | 1679875140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CLARK TERRILL Owner 972-596-7227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX D7328) |
| Enumeration Date | 2010-12-03 |
| Last Update Date | 2010-12-03 |