| NPI | 1700761277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEMITOPE OJO Authorized Official 972-940-2390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2025-08-06 |
| Last Update Date | 2025-10-06 |