| NPI | 1114346178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QAMAR RAZA CEO 419-204-8365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: TX M 0982) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX M0982) |
| 207Q00000X Family Medicine (Licence: TX M 0982) | |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2014-12-29 |