| NPI | 1619573532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RATHNA NUTI Physician 214-738-6169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2021-02-10 |