| NPI | 1710072814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN GEORGE BANDER Clinic Director 972-429-4553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX G3129) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2011-05-06 |