| NPI | 1982842357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN PAYBERAH President 972-981-7822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX J6292) |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2009-10-30 |