| NPI | 1659806511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYESHA KANWAL Authorized/Owner 817-703-8671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX Q2313) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2018-10-11 |