| NPI | 1689934598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRON HINTON WATKINS Owner 214-630-3262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX D0754) |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2012-05-24 |