| NPI | 1972722536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA KAY MICHAELS President 214-668-1802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: TX K0934) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2012-02-02 |