| NPI | 1881728624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM FOGARTY Senior VP / Chief Medical Officer 972-364-8103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
| 261QX0100X Clinic/Center Occupational Medicine | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2010-09-07 |