NPI | 1841473345 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH "BILL" W. BURKE Physician/Owner 817-431-2573 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX G3197) |
Enumeration Date | 2007-12-07 |
Last Update Date | 2007-12-07 |