| NPI | 1295546174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILAL PARVEZ Administrator 346-220-3534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-01-18 |
| Last Update Date | 2025-05-02 |