| NPI | 1447771928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUMAIRA RAHMAN Adminstartor 915-204-8879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2022-07-21 |