| NPI | 1770971012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON JAMES BOONE Physician 940-736-0212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX P8218) |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2015-01-08 |