| NPI | 1598205551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANAND MANOJ DESAI Member Manager 817-939-3372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 300354) |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2019-07-31 |