| NPI | 1548501901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NUSRAT A KHAN Medical Director 817-596-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M5284) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX M5284) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2013-03-11 |