| NPI | 1275262057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEWUMI BAKARE Owner 214-516-1495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2022-06-07 |