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 |