| NPI | 1720710510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY ERIN WOODARD Director Of Clinical Operations 972-210-1229 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2022-07-05 |