| NPI | 1801120878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LEE GLENN President 972-712-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: TX 11204) |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2011-07-29 |