| NPI | 1720405384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACYE A BYARS Owner 817-475-1139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: TX 509900) |
| Additional Taxonomies | 261QB0400X Clinic/Center, Birthing (Licence: TX 509900) |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2014-03-20 |