| NPI | 1760958367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ANDERSON VP 972-364-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QH0100X Clinic/Center Health Service | |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2018-10-22 |