NPI | 1578328894 |
---|---|
Entity Type | Organization |
Authorized Contact | OLUBUKOLA OKORO Chief Medical Officer 972-390-7667 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 261QR0404X Clinic/Center, Rehabilitation, Cardiac Facilities |
Enumeration Date | 2024-02-15 |
Last Update Date | 2024-05-17 |