| NPI | 1043561434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAKIYA ENGO DIALLO Medical Director 972-271-1156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX n4380) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: TX N4380) |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2013-10-23 |