| NPI | 1720067358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL AGYEPONG President 940-397-5490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 152W00000X Optometrist |
| 207QS1201X Family Medicine, Sleep Medicine | |
| 207R00000X Internal Medicine | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| 207V00000X Obstetrics & Gynecology | |
| 207W00000X Ophthalmology | |
| 208000000X Pediatrics | |
| 2083X0100X Preventive Medicine, Occupational Medicine | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 208600000X Surgery | |
| 208D00000X General Practice | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2024-06-12 |