NPI | 1689970295 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT ANTHONY MOORE Owner 214-522-1960 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX E1070) |
Enumeration Date | 2011-01-28 |
Last Update Date | 2011-01-28 |