| NPI | 1982945127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY LENAMOND President 817-881-6044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX M2378) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2013-11-19 |