| NPI | 1063781334 |
|---|---|
| Former Legal Business Name | SAJJADUL ISLAM |
| Entity Type | Organization |
| Authorized Contact | SAJJADUL ISLAM Owner/Physician 432-335-8400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: TX G7240) |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2012-04-30 |