| NPI | 1861555989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C PEACE Physician 972-287-7187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TX H6504) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |