| NPI | 1285092619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IQBAL A. MEMON Member 256-226-9353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX Q5039) |
| Enumeration Date | 2016-01-30 |
| Last Update Date | 2016-01-30 |