| NPI | 1871927327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHOAIB KHALIL Owner 817-862-7975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2013-09-02 |
| Last Update Date | 2026-01-15 |