| NPI | 1790297778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIZA MUNAWAR Owner 214-948-3364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 125K00000X Advanced Practice Dental Therapist |
| 125Q00000X Oral Medicinist | |
| 207K00000X Allergy & Immunology | |
| 207P00000X Emergency Medicine | |
| 207Q00000X Family Medicine | |
| 207ZF0201X Pathology Forensic Pathology | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology | |
| 2085R0202X Radiology Diagnostic Radiology | |
| 2085R0205X Radiology Radiological Physics | |
| 208D00000X General Practice | |
| 208U00000X Clinical Pharmacology | |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2020-01-31 |