| NPI | 1053506592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHMOUD SHEIKH KHALIL Owner 318-281-2008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: LA 12276R) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2012-03-13 |