NPI | 1245713643 |
---|---|
Entity Type | Organization |
Authorized Contact | ZEESHAN TARIQ KHAN Physician 972-737-5000 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine |
Enumeration Date | 2018-09-11 |
Last Update Date | 2021-12-20 |