| NPI | 1679454326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUSTAFA HUSSAMUDDIN ALIBHAI Board Member 469-733-4730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| Enumeration Date | 2025-09-09 |
| Last Update Date | 2025-09-09 |