| NPI | 1215465281 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SHAHJAHAN NISAR CHAUDHRY Owner/President 972-971-2706 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 238485-1) | 
| Enumeration Date | 2017-06-02 | 
| Last Update Date | 2017-06-02 |