| NPI | 1992354591 |
|---|---|
| Former Legal Business Name | NORTH TEXAS PRACTICE MANAGEMENT, LLC |
| Entity Type | Organization |
| Authorized Contact | LESLIE R ROUSSEAU Secretary 817-805-1886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2020-09-01 |