| NPI | 1487099958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYED RAFIQUE Physician/Owner 662-453-3167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0200X Clinic/Center Oncology (Licence: MS 14648) |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2014-09-10 |