| NPI | 1326477142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARVANEH FIROZBAKHT Physician Assistant 817-966-6222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: TX pa03421) |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2013-11-02 |