| NPI | 1386482529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMAD PAIMAN GHAFOORI President/Doctor 512-334-2665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2024-07-19 |
| Last Update Date | 2024-11-04 |