| NPI | 1578867271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIE NENE OTI President 214-718-0650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA03161) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2011-01-10 |