| NPI | 1922410935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY W MORRIS Managing Member 817-739-7641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: KY 03530) |
| Enumeration Date | 2014-05-24 |
| Last Update Date | 2014-05-24 |