| NPI | 1851038749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHADRIK PATEL Owner 276-613-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2024-02-01 |