NPI | 1689841090 |
---|---|
Entity Type | Organization |
Authorized Contact | KENT HUGHES Owner 817-645-4900 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: TX J0967) |
Enumeration Date | 2008-05-14 |
Last Update Date | 2008-07-22 |