| NPI | 1295165967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED A MOHIUDDIN CEO 972-900-6009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2022-11-02 |