| NPI | 1588293633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEESHA EGUIA COO 214-310-8275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2024-11-15 |