| NPI | 1144976739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMAD ABAZID Owner 469-684-5450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| 261Q00000X Clinic/Center | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2023-05-23 |