| NPI | 1154905628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHOBHA PANDAY Member 214-206-1118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine Geriatric Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2023-03-12 |