| NPI | 1760691968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY GARDNER Medical Director 817-886-4656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX J3478) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-01-20 |