| NPI | 1871924027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHHAMAD TARIQ Medical Director/General Partner 214-507-2365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 130165) |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2013-12-12 |