| NPI | 1871985499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH BANFILL Owner 817-455-6022 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: TX 18558699436) |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2015-02-19 |