| NPI | 1679023410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REZIUDDIN SIDDIQUE Owner 214-566-7714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: TX L2650) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-12-08 |