| NPI | 1265600308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REDA S BESTAWROUS Owner Physician 817-741-8011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX K3989) |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2008-12-24 |