NPI | 1780614966 |
---|---|
Entity Type | Organization |
Authorized Contact | ASTRID GUTSMANN Medical Director 972-227-3464 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX M0422) |
Enumeration Date | 2006-07-04 |
Last Update Date | 2010-12-14 |