| NPI | 1881811149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REMIGIO GUNGON CAPATI Medical Director 817-416-5372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: TX J5220) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2008-07-03 |