| NPI | 1386097558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAISHALI BHUSARI Physician/Owner 940-782-6642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P3048) |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2020-03-02 |