| NPI | 1740331479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT MOORE President 214-986-5239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2025-09-11 |