NPI | 1992355499 |
---|---|
Entity Type | Organization |
Authorized Contact | LESLIE MCGEE HENDERSON Director Of Revenue Cycle 817-735-2008 |
Organization Subpart ? | Yes |
Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM |
Enumeration Date | 2019-09-17 |
Last Update Date | 2019-09-17 |