| NPI | 1275826018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHID HASNAIN President 865-250-3740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX M1747) |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2011-05-26 |