| NPI | 1669472205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARIDA FARRUKH VALLIANI Owner 214-731-0031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX J9413) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2011-10-12 |