| NPI | 1235028358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANAULLAH ABBASI Member 817-903-0997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2025-07-02 |
| Last Update Date | 2025-07-02 |