| NPI | 1558877944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SILVIA SEDRAK Physician 346-387-7001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2024-01-23 |