| NPI | 1881835320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETCHEN DEEANN ROACH Human Resource Director 940-320-6732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX F7964) |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2009-03-12 |