| NPI | 1841676376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI ALAVI Owner 817-602-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2015-08-06 |