| NPI | 1295581809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANAR BABASHOV CFO 469-667-2011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2024-04-24 |
| Last Update Date | 2024-05-15 |