| NPI | 1962156802 |
|---|---|
| Doing Business As | NTX 360 CARE |
| Entity Type | Organization |
| Authorized Contact | TODD L PETELSKI Owner 817-200-4469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2022-09-28 |