| NPI | 1255950002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMIAN IRABOR Member 214-356-5165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care |
| 261QP2300X Clinic/Center Primary Care | |
| Enumeration Date | 2020-04-12 |
| Last Update Date | 2024-11-06 |