| NPI | 1780850636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTEN ELIZABETH CLOWER President 940-383-2211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX 32554) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2015-05-13 |