| NPI | 1699243584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARESH KUMAR BOGHARA CEO 214-391-1158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2020-12-03 |