NPI | 1013568914 |
---|---|
Entity Type | Organization |
Authorized Contact | SEEMA MOTTACKAL GEORGE Owner 972-965-9402 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2019-09-23 |
Last Update Date | 2019-09-23 |