NPI | 1245713643 |
---|---|
Entity Type | Organization |
Authorized Contact | ZEESHAN TARIQ KHAN Physician 972-737-5000 |
Organization Subpart ? | No |
Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine |
Enumeration Date | 2018-09-11 |
Last Update Date | 2024-06-11 |