| NPI | 1831645217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ROBERTS HARRIS Owner And Doctor 817-534-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2016-08-26 |