| NPI | 1710432125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERIF SHAMAA Owner 817-297-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2016-08-16 |