| NPI | 1912640491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN TYLER Senior Revenue Cycle Administrator 817-566-1232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0002X Clinic/Center Emergency Care |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2022-04-14 |