| NPI | 1467813782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANILA KHAN Authorized Official 866-986-0596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX K0008) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2016-03-14 |