| NPI | 1912169467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J. ROGERS Director 817-315-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX F4444) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2022-03-31 |