| NPI | 1255580049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | M FASEEH HADIDI Owner 662-627-2544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MS 17427) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2014-01-06 |