NPI | 1225816168 |
---|---|
Entity Type | Organization |
Authorized Contact | DIMPLE DESAI Authorized Offical, President 956-854-1306 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine |
Enumeration Date | 2023-09-21 |
Last Update Date | 2023-09-21 |