| NPI | 1790248987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID OKUMBOR President 214-675-3859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-04-13 |
| Last Update Date | 2019-04-13 |