| NPI | 1316226418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUBAYO IDOWU Medical Director 469-893-9613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2012-03-21 |