| NPI | 1255811899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAKHSHI HYDARI Owner 903-347-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX P7283) |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2018-10-16 |