| NPI | 1104153196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYAPRAKASH NARAYANA Physician 972-709-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX J6617) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX J6617) |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2010-07-22 |