| NPI | 1760517767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD GLENN IVY Director 817-538-3649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246Z00000X Specialist/Technologist, Other (Licence: TX 2809) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |