| NPI | 1932873361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SLATER Owner 214-707-2890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2021-08-09 |