| NPI | 1922263672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE BARKOCI Billing Manager 817-625-9292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX h7882) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-07-22 |