| NPI | 1821967100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA MELISSA TARIN Director Of Operations 214-625-9018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2025-11-04 |
| Last Update Date | 2025-11-04 |