| NPI | 1235409558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH YAW OBENG Medical Doctor 817-875-3346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M0200) |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2012-06-07 |