| NPI | 1649616707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAZIA JAVED CEO 662-678-3509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine (Licence: CO 49497) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: CO 49497) |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2013-05-16 |