| NPI | 1356826838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHABANA AHMED CEO 972-375-1846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 122300000X Dentist |
| 207Q00000X Family Medicine | |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2023-01-30 |