| NPI | 1861881112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJINDER SHIWACH Medical Doctor 972-283-6286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA09191) |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2015-01-09 |