| NPI | 1740143890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUHAIB TAIE Owner 469-592-6599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2025-12-05 |
| Last Update Date | 2025-12-05 |