| NPI | 1063991701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJ BHARGAVA Managing Member 469-714-0006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2018-08-13 |