| 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 |