| NPI | 1356117691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAHAD OMAR Provider 915-213-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology |
| 207RC0200X Internal Medicine, Critical Care Medicine | |
| Enumeration Date | 2023-11-28 |
| Last Update Date | 2023-11-28 |