| NPI | 1114188976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNITA PAREEK Manager 662-429-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2010-05-26 |