| NPI | 1639574403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYAM ZAMANIAN Physician Owner 972-998-6711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: TX M0612) |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2014-10-23 |