| NPI | 1053762237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURESH BABU KANKANALA President 972-544-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: TX N5145) |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| 282N00000X General Acute Care Hospital (Licence: TX N5145) | |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2016-08-08 |