| 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 |