| NPI | 1154833309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OKEREKE MOSES MADUBUIKE Manager 214-450-8409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX 000000000000) |
| Enumeration Date | 2017-10-27 |
| Last Update Date | 2017-10-27 |