| NPI | 1821485970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVARIA JABEEN Medical Direcor 972-691-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: TX Q2305) |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service (Licence: TX Q2305) |
| 261QP2000X Clinic/Center Physical Therapy (Licence: TX Q2305) | |
| 261QP2300X Clinic/Center Primary Care | |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2023-07-07 |