| NPI | 1376414227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMED SHUJA Owner 469-482-0861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0002X Clinic/Center Emergency Care |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2025-09-15 |
| Last Update Date | 2025-09-15 |