| NPI | 1831338391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENORA FELAN Office Manager 817-310-3734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX L2738) |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2009-02-06 |