| NPI | 1689567109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIDHAT SYED Manager 682-564-8935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| 2086S0129X | |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2025-06-02 |
| Last Update Date | 2025-06-02 |