| NPI | 1073250650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IFEOMA OGBONNA Owner 972-767-9372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2023-02-27 |