| NPI | 1740462415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD HAQ NAWAZ Administrator 214-227-7799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| 291U00000X Clinical Medical Laboratory | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2008-04-14 |