| NPI | 1174075857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVAK DESAI Owner 817-539-9091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: TX N1611) | |
| 363LA2100X Nurse Practitioner, Acute Care | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2023-06-23 |