| NPI | 1770738502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANY KAY TRAMMELL Office Manager 972-617-6376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX H4751) |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2008-11-20 |