| NPI | 1700384682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED A MOHIUDDIN Medical Director 972-900-6009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2018-01-25 |