| NPI | 1891959698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA A. SHIMER Owner 214-578-0519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX L2006) |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2008-07-17 |