| NPI | 1134206139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NUSRAT A KHAN Clinical Director 817-597-5632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2022-11-22 |