| NPI | 1851432462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEBOLA SULAIMAN OLATUNJI Director 817-386-9818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX L9833) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2015-06-17 |