| NPI | 1538737275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADILA SIDDIQI Owner 817-714-5300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2021-06-17 |