| NPI | 1114746120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIKRAM SINGH VIRK Chief Operating Officer 469-975-2495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine |
| Enumeration Date | 2024-10-07 |
| Last Update Date | 2024-10-07 |