| NPI | 1235639204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALOK KUSHWAHA Manager 817-235-9665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX P4641) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX K1232) |
| 111N00000X Chiropractor (Licence: TX 06478) | |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2018-02-16 |