| NPI | 1629380589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMONA RAJ Director 972-899-2271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX N2746) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2010-12-15 |