| NPI | 1003160045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRAHAM JACOB President 972-998-0803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX L4465) |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2012-10-29 |