NPI | 1053027680 |
---|---|
Entity Type | Organization |
Authorized Contact | FOWAD CHOUDHRY Managing Employee 817-721-3145 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2023-01-26 |
Last Update Date | 2024-05-24 |