| NPI | 1811654197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUFEMI OLADELE AJOSE Md Owner 936-899-7243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2021-11-22 |
| Last Update Date | 2022-08-19 |