| NPI | 1760616619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT PAUL STEPHENS President 440-382-3581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX N2821) |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2013-03-27 |