| NPI | 1952734758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE SCHAFER Owner/ President 855-860-2109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX H0790) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2014-11-20 |