| NPI | 1578942546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW ABRAHAM PHARES Owner/Registered Agent 817-600-7178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P1386) |
| Enumeration Date | 2015-05-24 |
| Last Update Date | 2015-05-24 |