| NPI | 1922353358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON A WILLIAMS Owner 214-462-7887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: TX M0969) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2012-07-23 |