| NPI | 1336786615 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SUNIL KURUP Physician Owner 214-803-5188 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | 
| Enumeration Date | 2019-12-05 | 
| Last Update Date | 2019-12-05 |