| NPI | 1861322588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUL HASSAN Owner 469-740-3812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 251B00000X Case Management | |
| Enumeration Date | 2026-05-22 |
| Last Update Date | 2026-08-24 |