| NPI | 1114488327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARVANEH ASADI Y Fnp/Clinician,Owner 817-715-6166 |
| Organization Subpart ? | |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QH0100X Clinic/Center Health Service | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QP3300X Clinic/Center Pain | |
| 261QU0200X Clinic/Center Urgent Care | |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2019-03-29 |