| NPI | 1952640781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN OSBORNE CEO 817-310-3070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX PA08026) |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2013-02-14 |