| NPI | 1962769646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DURGA P MEKALA Director 817-987-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX N8039) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2014-04-02 |