| NPI | 1790862316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA GUROVA President And Secretaly 817-645-5915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX L7404) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2015-01-12 |