| NPI | 1750780235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELVIS NGYIA Provider/Manager 214-277-3305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2020-08-18 |