| NPI | 1982171153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ANDERSON VP 972-364-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QH0100X Clinic/Center Health Service | |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2018-10-25 |