| NPI | 1215462627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHZAD CHOUDHRY Resident 432-620-1048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2017-04-23 |
| Last Update Date | 2017-04-23 |