| NPI | 1083198691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALIMA JAFFER Director 469-431-0486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2021-06-16 |