| NPI | 1922056191 |
|---|---|
| Doing Business As | BURLESON OLD TOWN MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JOE M ETTER Owner 817-295-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX L9685) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2011-10-11 |