| NPI | 1184106510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARLENE KARMINI SELVARATNAM Medical Director 469-431-0544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: TX Q7467) |
| Enumeration Date | 2018-09-01 |
| Last Update Date | 2018-09-01 |