| NPI | 1528062460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALID M BHATTI Owner 270-765-5112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2018-12-07 |