| NPI | 1295534360 |
|---|---|
| Doing Business As | HAVENFUSE IV CENTER |
| Entity Type | Organization |
| Authorized Contact | AVIVA M ROSENBERG Owner 214-695-8729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2025-03-11 |
| Last Update Date | 2025-03-11 |