| NPI | 1285768739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOJO ABAKA POBEE President 972-983-5466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX K7592) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 647333) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2012-07-17 |