| NPI | 1740552736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANISH DIMRI President 432-559-4657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M5134) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX N3929) |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2012-02-06 |