| NPI | 1699914085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICKY L MCELVAIN President 817-784-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX H2587) |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2009-02-10 |