NPI | 1821364324 |
---|---|
Entity Type | Organization |
Authorized Contact | JOE L STRONG CEO/Owner 214-287-0052 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: AR 302FOOOOOX) |
Enumeration Date | 2012-03-29 |
Last Update Date | 2012-03-29 |