| NPI | 1083082481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON KOURI President/CEO 972-686-2701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2020-09-10 |