| NPI | 1699795203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LEE WALTERS Owner President 972-296-4828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX H0913) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-08-22 |