| NPI | 1730877184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEEBA R MATHAI Managing Member 972-313-5017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2025-01-06 |