| NPI | 1528206612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD N UDDIN Owner And CEO 682-557-4042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX M8396) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX N0121) |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2015-06-30 |