| NPI | 1124248141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HASSAN ZAHI KANAAN Medical Director 469-867-7372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX L7437) |
| Additional Taxonomies | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: TX L7437) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |