| NPI | 1801176474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALILIAH ALI President 469-835-3449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 682811) |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2011-09-15 |