| NPI | 1841841483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABOOHI ZAFAR Physician 469-919-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2021-08-24 |