| NPI | 1811913916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK GENCO Medical Director 817-503-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2012-11-06 |