| NPI | 1831626183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANJAY R DASS Medical Director 501-626-0053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E4008) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: AR E4008) |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2024-07-09 |