NPI | 1982936555 |
---|---|
Entity Type | Organization |
Authorized Contact | BRUCE ALLEN HENRY Owner/ Provider 817-861-1055 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX H2454) |
Enumeration Date | 2010-02-08 |
Last Update Date | 2010-02-10 |