| NPI | 1083911622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PREM P GUPTA Partner 214-494-4622 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX F7772) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX F8878) |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2023-01-11 |