NPI | 1134985591 |
---|---|
Doing Business As | ELYSIAN HEALTH |
Entity Type | Organization |
Authorized Contact | ISMAIL SHAKOOR BOODHWANI Owner 214-430-4384 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
Enumeration Date | 2024-02-23 |
Last Update Date | 2024-08-29 |