| NPI | 1831919018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BRACE VP Compliance & Hr 469-607-8448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-10-14 |
| Last Update Date | 2024-11-13 |