| NPI | 1730366691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON L WIENER Pediatrician 972-659-0404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX G8509) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2008-01-23 |