NPI | 1811172042 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY B TAYLOR Owner/Physician 972-864-2050 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX K6508) |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2008-01-07 |
Last Update Date | 2024-03-25 |