| NPI | 1740774488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA REYES ZAHORIK Owner 817-914-2657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2018-06-16 |
| Last Update Date | 2018-06-16 |