| NPI | 1174298350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUFADDAL BOOTWALA Director 972-559-4150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 163WW0000X Registered Nurse Wound Care |
| 207P00000X Emergency Medicine | |
| 207QA0505X Family Medicine Adult Medicine | |
| 207QH0002X Family Medicine Hospice and Palliative Medicine | |
| 207RG0300X Internal Medicine Geriatric Medicine | |
| 207RH0003X Internal Medicine Hematology & Oncology | |
| 2081H0002X Physical Medicine & Rehabilitation Hospice and Palliative Medicine | |
| 2279P3800X Respiratory Therapist, Registered Palliative/Hospice | |
| 261QU0200X Clinic/Center Urgent Care | |
| 363LA2200X Nurse Practitioner Adult Health | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2025-02-25 |