| NPI | 1730936717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIJAYABHASKER REDDY Manager 817-917-6647 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-05-07 |