| NPI | 1750607016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA E TINLEY Owner 817-641-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX M5544) |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2016-03-30 |