| NPI | 1700628716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN IYIOLA OYEFARA Managing Member 972-919-6999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2024-06-10 |