| NPI | 1881099315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN J TITTLE Owner 214-905-5075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX F7235) |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2014-10-27 |