| NPI | 1477263317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAHID VANDSHEKARI Medical Director 915-479-0840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2022-12-01 |
| Last Update Date | 2024-03-25 |