| NPI | 1740525443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUMEESH DHAWAN Medical Director 817-473-7197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M1074) |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2015-05-01 |