| NPI | 1013524131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IFEANYI DURUEWURU Owner/Manager 214-906-5427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 251E00000X Home Health |
| 261Q00000X Clinic/Center | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 314000000X Skilled Nursing Facility | |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |