| NPI | 1578052700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALOK P KUSHWAHA Sole Member Sole Owner 972-510-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX K1232) |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2020-07-29 |