| NPI | 1790306595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NJIDEKA DOMRUFUS Owner 972-853-1578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2020-05-03 |
| Last Update Date | 2020-05-03 |