| NPI | 1891962734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD C GLANS Owner 817-431-0507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX 7229) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2008-05-09 |