| NPI | 1639306731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMAD Z. QASIMYAR Medical Director 703-628-3149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care (Licence: AZ 41474) |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2020-02-12 |