| NPI | 1780848614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY WAYNE CROSBY Director Of Operations 214-916-9171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX G9925) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2008-07-10 |