| NPI | 1699416743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOUSEF ABOUKAYYAS Owner 972-288-3471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RA0201X Internal Medicine, Allergy & Immunology | |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-04-05 |