| NPI | 1841568508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE D ADAMSON Director 214-250-7808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: TX 53600) |
| Additional Taxonomies | 251S00000X (Licence: UT 296205-3501) |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2011-12-09 |