| NPI | 1689926867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRHAM MENGESHA AGONAFIR Operations Manager 469-831-1727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MD D0072842) |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2013-10-17 |