NPI | 1003993643 |
---|---|
Entity Type | Organization |
Authorized Contact | BASIT ALI D.O 214-947-0752 |
Organization Subpart ? | No |
Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
207RI0200X Internal Medicine, Infectious Disease | |
207QG0300X Family Medicine, Geriatric Medicine | |
2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: TX M0340) | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2006-11-01 |
Last Update Date | 2022-07-26 |