NPI | 1851844104 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY DOUGLAS MILLER Vice President 972-906-8103 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
Enumeration Date | 2016-08-03 |
Last Update Date | 2022-02-28 |