| NPI | 1376439356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEHRIN MEMON Director 214-517-6698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-06-16 |
| Last Update Date | 2026-09-25 |