| NPI | 1902163595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA A ROJAS Office Manager 214-391-1158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX G1785) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2012-04-19 |