| NPI | 1992056931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER M OPELLA Owner/President 817-270-0788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX K5370) |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2017-11-17 |