| NPI | 1912159609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM FOGARTY Senior VP / Chief Medical Officer 972-364-8103 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2008-10-14 |