NPI | 1114789005 |
---|---|
Doing Business As | FORT HEALTH MEDICAL GROUP OF TEXAS |
Entity Type | Organization |
Authorized Contact | SABA HAQ President 949-463-0650 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry |
Enumeration Date | 2024-01-25 |
Last Update Date | 2024-05-20 |