NPI | 1407994056 |
---|---|
Entity Type | Organization |
Authorized Contact | TOCHI A. OSUJI Manager 972-230-8881 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX K6669) |
Enumeration Date | 2007-02-02 |
Last Update Date | 2022-12-30 |