| NPI | 1194155382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA JIGOVSKAIA Pa C 214-298-5528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX PA08480) |
| Enumeration Date | 2013-11-25 |
| Last Update Date | 2013-11-25 |