| NPI | 1083803787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLENI WOLDESENBET Owner 817-417-0260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX L0707) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2007-12-14 |