| NPI | 1598033276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOJAN E SAFAVI President 972-346-2992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TX 21289) |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2011-12-08 |