NPI | 1801378112 |
---|---|
Entity Type | Organization |
Authorized Contact | ADRIANE ALEXANDER Managing Member 469-463-3353 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 251E00000X Home Health |
261QM1300X Clinic/Center Multi-Specialty | |
261QR0400X Clinic/Center Rehabilitation | |
Enumeration Date | 2018-09-04 |
Last Update Date | 2025-04-28 |